Contract Development Specialist at Blue Cross & Blue Shield of Rhode Island — Providence, RI

Pay Range:

$58,700.00 - $79,300.00 Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

Why this job matters:

Prepare subscriber agreements and benefit booklets for distribution. Ensure documentation adheres to all state laws and regulations, accurately reflects benefits purchased by employer groups, and is prepared within established timeframes.

What you will do:

• Develop and modify member benefit documents that clearly represent the terms and conditions of the plans and benefits purchased by our groups.
• Collaborate with internal areas to ensure templates are annually updated, operational and adhere to internal and regulatory standards.
• Produce and provide ongoing inventory reporting that assists in monitoring the volume and timeliness of deliverables.
• Monitor and respond to inquiries and requests from internal business partners such as Sales, Operations, Grievance and Appeals, Utilization Mgt. in the established timeframes.
• Research historical account data and retrieve/produce supporting benefit/contract documentation for litigation purposes.
• Ensure subscriber agreement database provides accurate subscriber agreements to internal and external customers. Identify and triage database issues. Assist with the testing of database updates prior to implementation.
• Serve as administrator of the subscriber agreement database; ensure documentation is stored in accordance with BCBSRI policies and procedures. Analyze the weekly outlier report and develop any benefit documents added as a variation in the large or small group market.
• Provide detailed benefit documents to the custom implementation team and participate in custom group implementation meetings on behalf of department, as necessary
• Participate in department initiatives and projects, including the identification of opportunities to automate/streamline processes related to the production of member documents.
• Perform other duties as assigned.

What you need to succeed:

• Two or more years of relevant professional experience supporting legal, regulatory, operational, or administrative functions.
• High School Diploma, Associate’s or Bachelor’s degree, or an equivalent combination of education and experience
• Detail oriented
• Demonstrated written and verbal communications skills
• Ability to exercise sound judgment
• Ability to establish and maintain strong working relationships with various stakeholders
• Ability to organize work efficiently to meet established time and quality standards
• Good organization skills
• Good time management skills
• Proficiency with Microsoft Suite of products; i.e., Word, Excel, PPT, etc

The extras:

• Familiarity with BCBSRI product portfolio
• Experience with health insurance benefits, regulations, contracting and policy issue requirements
• Experience with Salesforce and SharePoint databases

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia